Fig. 1

Clinical data

Age : Female 17 years old

Tooth : Second mandibular right molar

Dg : Deep caries with pulp penetrating

Treatment plan : Pulpotomy

Fig. 2

Pre-operative X-ray

Fig. 3

Isolation, initial preparation which has resulted in pulp opening.

Fig. 4

Caries removal prior to pulpal access is required to reduce the bacterial load.

Haemostasis – cotton pellet within 3min.

Fig. 5

MTA (mineral trioxide aggregate) was placed against the wound.

Fig. 6

Composite restoration

Fig. 7

X-ray after 1.5 year

The patien has no complaints 

The vitality test – positive delayed


Pulpotomy is a prospective substitute for root canal treatment in managing permanent teeth with carious pulp exposures, even in permanent teeth with irreversible pulpitis.

Large, well-designed trials comparing pulpotomy with other treatments in terms of cost-effectiveness should be informative.


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3. Qudeimat MA, Alyahya A, Hasan AA. Mineral trioxide aggregate pulpotomy for permanent molars with clinical signs indicative of irreversible pulpitis: A preliminary study. Int Endod J. 2017;50:126–34.

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6. Yuanyuan Li 1, Bingdong Sui 2, Christian Dahl 3, Brian Bergeron 3, Peter Shipman 4, Lina Niu 5, Jihua Chen 6, Franklin R Tay 7  Pulpotomy for carious pulp exposures in permanent teeth: A systematic review and meta-analysis. In : J Dent, May 2019